Crit Care. 2010;14(1):108. doi: 10.1186/cc8843. Epub 2010 Jan 27.
Modifying how intensive care units (ICUs) are organized and run offers major opportunities to improve outcomes. In the previous issue of Critical Care, Billington and colleagues assessed the association of outcomes with intensivists' base speciality. However, very little is known about the relationships between ICU organization and outcomes. In the systems-based paradigm of quality improvement, every aspect of what we do and how we do it is a candidate for study and change. While we need much more rigorous research assessing every aspect of this large question, there are substantial barriers to conducting such studies.
改变重症监护病房(ICU)的组织和管理方式提供了改善治疗效果的重要机会。在之前的《重症监护》杂志中,Billington 及其同事评估了 ICU 医师的主要专科与治疗效果之间的关联。然而,关于 ICU 的组织与治疗效果之间的关系,我们知之甚少。在以系统为基础的质量改进模式中,我们所做的每一件事及其方式都是研究和改变的对象。虽然我们需要更严格的研究来评估这个大问题的各个方面,但进行此类研究存在很大的障碍。